- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Service Representative 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #811 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to ... developing a relationship with the provider, while providing the best customer service experience possible + Warm transfer calls to other business units for… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | NY Jurisdiction | Dedicated Client Are you ... valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client… more
- Sedgwick (New York, NY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Remote | NY Licensing Required **PRIMARY ... PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company… more
- Guardian Life (New York, NY)
- …needs. + Provide analytical subject matter expertise and recommendations to the Claims & Service organization. + Participate in workstream planning processes, ... and/or healthcare organizations, specifically in dental and disability analytics related to Claims & Service . + Proficiency with databases, SQL, and business… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management...multi-task in a fast paced environment + Must be service oriented, quick learner, team player + Appreciation of… more
- Travelers Insurance Company (Manhattan, NY)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent… more
- Molina Healthcare (Manhattan, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …for unsatisfactory work. Prepares cost estimates in connection with approved claims . Performs other related duties as assigned. Work Schedule: 8:00am-4:30pm Position ... Description Title/PD#: Construction Control Representative /PD49704A Physical Requirements: The work requires some physical exertion, such as long periods of… more
- Elevance Health (Lakewood, NJ)
- **Customer Care Representative I** **Location:** Must live within 50 miles of the Lake Success, NY, New Jersey, Connecticut, or Pennsylvania PulsePoint **Elevance ... extraordinary team Are you looking to Elevate your customer service experience and make a difference? Are you looking...meaningful impact on day one. As a Customer Care Representative , you will act as a trusted advisor and… more
- Elevance Health (New York, NY)
- **Customer Care Representative I** **$500 Sign On Bonus!** **Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse ... Point.** The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic job functions with help… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …healthcare and serve as a leader of positive change. The **Reconciliation Representative ** performs adjudication of the accounts that have payment and/or denial ... basis. **Responsibilities** A day in the life of a **Reconciliation Representative ** at Hackensack Meridian _Health_ includes: + Reviews organizational billing… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- Molina Healthcare (New York, NY)
- …experience in a managed healthcare setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible for various dental… more
- VNS Health (Manhattan, NY)
- …and operating requirements, Health Plan program and eligibility requirements, and service coordination. + Collaborates with the Network Development and Contracting ... and Service Operations departments to administer demographic changes and renewals...provider directories. + Assists providers in triaging billing and claims disputes. + Participates and collaborates with Compliance on… more
- Mina Group (New York, NY)
- …objectives in sales, costs, employee retention, communication and awareness, guest service and satisfaction, food quality, and compliance. GENERAL EXPECTATIONS + Act ... guests feel welcome and are given responsive, professional, gracious service at all times + Perform all aspects of...+ Facilitate and administer all workers comp paperwork and claims with BOURBON STEAK + Prepare all required paperwork,… more
- City of New York (New York, NY)
- …duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting… more
- VNS Health (Manhattan, NY)
- …medical and related activities. Participates in implementing standards of medical service and advises senior leadership on medical and administrative questions and ... plan of care; assists in evaluating program and member service policies and procedures to help develop ways to...of care and member/provider satisfaction. + Acts as a representative of the VNS Health Plans and an advocate… more
- Molina Healthcare (New York, NY)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in a managed care ... and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Guardian Life (Holmdel, NJ)
- …on a multi-year journey to modernize our policy administration and claims platforms to enable a best-in-class customer experience. The Implementation Program ... in Group Benefits from initial sale through ongoing administration, employee enrollment, claims processing, and plan renewals. + Can work in a highly ambiguous… more